A nurse administering medications to a variety of clients on a medical–surgical floor recognizes that which clients may need additional education about medication adherence?
Standard Text: Select all that apply.
1. Fifty-year-old recently remarried male taking antihypertensive medication
2. Thirty-four-year-old female with family history of blood clots taking an estrogen oral contraceptive
3. Sixty-eight-year-old male recently started on antidepressants known to cause gynecomastia
4. Twenty-eight-year-old female started on acne medication known to cause male-patterned hair growth
5. Seventy-eight-year-old male taking estrogen as therapy for prostate cancer
Correct Answer: 1,2,4
Rationale 1: Antihypertensive medications can cause erectile dysfunction. This client will need additional education about this possible side effect.
Rationale 2: Estrogen can cause an increased risk for thrombolytic events, especially in clients who have a positive family history.
Rationale 3: Men at this age usually already have some degree of enlargement of breast tissue due to decreasing testosterone and would not necessarily need additional education to prevent medication nonadherence.
Rationale 4: Some acne medications cause increased hair growth in a male pattern, such as on the face. While controlling acne is a goal, the client may not want the extra hair growth.
Rationale 5: Although estrogen therapy can result in breast enlargement, men at this age usually already have some degree of breast enlargement due to decreased testosterone levels.
Global Rationale: Antihypertensive medications can cause erectile dysfunction. This client will need additional education about this possible side effect. Estrogen can cause an increased risk for thrombolytic events, especially in clients who have a positive family history. Some acne medications cause increased hair growth in a male pattern, such as on the face. While controlling acne is a goal, the client may not want the extra hair growth. Men at this age usually already have some degree of enlargement of breast tissue due to decreasing testosterone and would not necessarily need additional education to prevent medication nonadherence. Although estrogen therapy can result in breast enlargement, men at this age usually already have some degree of breast enlargement due to decreased testosterone levels.
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